Complaint Investigation

Monmouth Rehab And Nursing

September 11, 2025 · Monmouth, IL · 117 South I Street

Citations 1

CMS Rating 1/5

Beds 58

Provider ID 146057

Healthcare Facility

Monmouth Rehab And Nursing

Monmouth, IL · View full profile →

Inspection Summary

MONMOUTH REHAB AND NURSING in MONMOUTH, IL — inspection on September 11, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0580

Resident Rights Deficiencies

Actual Harm

V2 responded, (R1) hand will be fine-it's probably just a sprain. V8 stated that V4 appeared upset and felt R1 needed an X-ray. V8 further stated we are often told by management to not report things.On 9/10/25 at 1:30 PM, V7 (CNA) stated that when she and V8 arrived at the scene on 8/12/2025, R1 was sitting on the ground with her legs extended and hands on the ground. V7 reported that R1 stated her hand was very sore and asked staff to be careful with it. V7 observed that R1's hand was swollen, bruised, and stated, Her hand was hurting her very bad. V7 stated that she and V8 notified a nurse but could not recall which nurse was informed. V7 also stated she was not aware of R1 refusing to wear foot pedals, noting, Sometimes she wears them and sometimes she doesn't.On 9/10/25 at 8:30 AM, V9 (Medical Director) stated he remembers receiving the call on 8/12/25 regarding R1's fall. V9 stated he does not remember exactly what was said to him at that time, but if it was conveyed to him that R1 was in a lot of pain or had swelling V9 would have sent R1 to the emergency room to be evaluated. V9 stated when he saw R1 the next day he ordered an Xray. V9 stated he expects to be notified any time a resident has a condition change or increased pain. V9 stated he does not recall the facility calling him with updates on R1's change of condition.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MONMOUTH, IL, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MONMOUTH REHAB AND NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

Monmouth Rehab And Nursing

Inspection Findings

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